{"id":"https://openalex.org/W4414981663","doi":"https://doi.org/10.1016/j.jacadv.2025.102154","title":"Unfavorable Social Determinants of Health and Obesity","display_name":"Unfavorable Social Determinants of Health and Obesity","publication_year":2025,"publication_date":"2025-10-09","ids":{"openalex":"https://openalex.org/W4414981663","doi":"https://doi.org/10.1016/j.jacadv.2025.102154","pmid":"https://pubmed.ncbi.nlm.nih.gov/41067122"},"language":"en","primary_location":{"id":"doi:10.1016/j.jacadv.2025.102154","doi":"https://doi.org/10.1016/j.jacadv.2025.102154","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jacadv.2025.102154","pdf_url":null,"source":{"id":"https://openalex.org/S4220651314","display_name":"JACC Advances","issn_l":"2772-963X","issn":["2772-963X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Advances","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.jacadv.2025.102154","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5022683997","display_name":"Jerrin S. Philip","orcid":"https://orcid.org/0009-0008-9229-0290","observed_orcids":["https://orcid.org/0009-0008-9229-0290"]},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jerrin Philip","raw_affiliation_strings":["Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA"],"raw_orcid":"https://orcid.org/0009-0008-9229-0290","affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA","institution_ids":["https://openalex.org/I1295876152"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000858853","display_name":"Kobina Hagan","orcid":"https://orcid.org/0000-0003-4964-1880","observed_orcids":["https://orcid.org/0000-0003-4964-1880"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kobina Hagan","raw_affiliation_strings":["Department of Epidemiology, Gillings School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Epidemiology, Gillings School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053329002","display_name":"Izza Shahid","orcid":"https://orcid.org/0000-0003-3975-1197","observed_orcids":["https://orcid.org/0000-0003-3975-1197"]},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Izza Shahid","raw_affiliation_strings":["Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA","institution_ids":["https://openalex.org/I1295876152"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064963131","display_name":"Ryan P. Chang","orcid":"https://orcid.org/0000-0001-9707-5823","observed_orcids":["https://orcid.org/0000-0001-9707-5823"]},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ryan Chang","raw_affiliation_strings":["Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA; Department of Medicine, Combined Military Hospital Lahore, Lahore, Pakistan"],"raw_orcid":"https://orcid.org/0000-0001-9707-5823","affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA; Department of Medicine, Combined Military Hospital Lahore, Lahore, Pakistan","institution_ids":["https://openalex.org/I1295876152"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Shriya Prakash","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shriya Prakash","raw_affiliation_strings":["Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA","institution_ids":["https://openalex.org/I1295876152"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000804649","display_name":"Michael Friedman","orcid":"https://orcid.org/0000-0002-7477-563X","observed_orcids":["https://orcid.org/0000-0002-7477-563X"]},"institutions":[{"id":"https://openalex.org/I193531525","display_name":"George Washington University","ror":"https://ror.org/00y4zzh67","country_code":"US","type":"education","lineage":["https://openalex.org/I193531525"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Friedman","raw_affiliation_strings":["Department of Global Health, George Washington University School of Medicine, Washington, District of Columbia, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Global Health, George Washington University School of Medicine, Washington, District of Columbia, USA","institution_ids":["https://openalex.org/I193531525"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111932836","display_name":"Anoop Titus","orcid":"https://orcid.org/0000-0002-2102-9529","observed_orcids":["https://orcid.org/0000-0002-2102-9529"]},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anoop Titus","raw_affiliation_strings":["Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA; Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA"],"raw_orcid":"https://orcid.org/0000-0002-2102-9529","affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA; Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA","institution_ids":["https://openalex.org/I1295876152"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019105551","display_name":"Harun Kundi","orcid":"https://orcid.org/0000-0002-0303-9619","observed_orcids":["https://orcid.org/0000-0002-0303-9619"]},"institutions":[{"id":"https://openalex.org/I4210144653","display_name":"Cardiovascular Research Foundation","ror":"https://ror.org/04yxwc698","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210144653"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Harun Kundi","raw_affiliation_strings":["Division of Cardiology, Cardiovascular Research Foundation, New York, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiology, Cardiovascular Research Foundation, New York, New York, USA","institution_ids":["https://openalex.org/I4210144653"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Zahir Amin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I55302922","display_name":"The University of Texas Medical Branch at Galveston","ror":"https://ror.org/016tfm930","country_code":"US","type":"education","lineage":["https://openalex.org/I55302922"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Zahir Amin","raw_affiliation_strings":["John Sealy School of Medicine, University of Texas Medical Branch, Galveston, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"John Sealy School of Medicine, University of Texas Medical Branch, Galveston, Texas, USA","institution_ids":["https://openalex.org/I55302922"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021353483","display_name":"Umair Javed","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Umair Javed","raw_affiliation_strings":["Department of Medicine, Combined Military Hospital Lahore, Lahore, Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Combined Military Hospital Lahore, Lahore, Pakistan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013749714","display_name":"Eleonora Avenatti","orcid":"https://orcid.org/0000-0002-7153-3790","observed_orcids":["https://orcid.org/0000-0002-7153-3790"]},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eleonora Avenatti","raw_affiliation_strings":["Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA; Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA"],"raw_orcid":"https://orcid.org/0000-0002-7153-3790","affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA; Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA","institution_ids":["https://openalex.org/I1295876152"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041444092","display_name":"Sadeer G Al-Kindi","orcid":"https://orcid.org/0000-0002-1122-7695","observed_orcids":["https://orcid.org/0000-0002-1122-7695"]},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sadeer Al-Kindi","raw_affiliation_strings":["Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA; Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA; Center for Cardiovascular Computational Health and Precision Medicine (C3-PH), Houston Methodist, Houston, Texas, USA"],"raw_orcid":"https://orcid.org/0000-0002-1122-7695","affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA; Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA; Center for Cardiovascular Computational Health and Precision Medicine (C3-PH), Houston Methodist, Houston, Texas, USA","institution_ids":["https://openalex.org/I1295876152"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072663918","display_name":"Khurram Nasir","orcid":"https://orcid.org/0000-0001-5376-2269","observed_orcids":["https://orcid.org/0000-0001-5376-2269","https://orcid.org/0000-0002-2632-1318"]},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Khurram Nasir","raw_affiliation_strings":["Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA; Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA; Center for Cardiovascular Computational Health and Precision Medicine (C3-PH), Houston Methodist, Houston, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA; Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA; Center for Cardiovascular Computational Health and Precision Medicine (C3-PH), Houston Methodist, Houston, Texas, USA","institution_ids":["https://openalex.org/I1295876152"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5080459985","display_name":"Zulqarnain Javed","orcid":"https://orcid.org/0000-0002-4137-9198","observed_orcids":["https://orcid.org/0000-0002-4137-9198","https://orcid.org/0000-0003-4321-4394"]},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]},{"id":"https://openalex.org/I181547552","display_name":"Baylor College of Medicine","ror":"https://ror.org/02pttbw34","country_code":"US","type":"education","lineage":["https://openalex.org/I181547552","https://openalex.org/I2801539370"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Zulqarnain Javed","raw_affiliation_strings":["Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA; Center for Cardiovascular Computational Health and Precision Medicine (C3-PH), Houston Methodist, Houston, Texas, USA; Department of Internal Medicine, Baylor College of Medicine, Houston, Texas, USA. Electronic address: zjaved@houstonmethodist.org"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Prevention and Wellness, Houston Methodist Academic Institute, Houston, Texas, USA; Center for Cardiovascular Computational Health and Precision Medicine (C3-PH), Houston Methodist, Houston, Texas, USA; Department of Internal Medicine, Baylor College of Medicine, Houston, Texas, USA. Electronic address: zjaved@houstonmethodist.org","institution_ids":["https://openalex.org/I1295876152","https://openalex.org/I181547552"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5080459985"],"corresponding_institution_ids":["https://openalex.org/I1295876152","https://openalex.org/I181547552"],"apc_list":{"value":2936,"currency":"USD","value_usd":2936},"apc_paid":{"value":2936,"currency":"USD","value_usd":2936},"fwci":1.074,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.80014108,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"4","issue":"11","first_page":"102154","last_page":"102154"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.8593999743461609,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.8593999743461609,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10010","display_name":"Obesity, Physical Activity, Diet","score":0.12129999697208405,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.008299999870359898,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/obesity","display_name":"obesity","score":0.921999990940094},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":1.0},{"id":"https://openalex.org/keywords/premature-mortality","display_name":"premature mortality","score":0.9319999814033508},{"id":"https://openalex.org/keywords/socioeconomic-deprivation","display_name":"socioeconomic deprivation","score":0.8709999918937683},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.7480000257492065},{"id":"https://openalex.org/keywords/cardiovascular-risk","display_name":"cardiovascular risk","score":0.5989999771118164},{"id":"https://openalex.org/keywords/obesity-class","display_name":"obesity class","score":0.42800000309944153},{"id":"https://openalex.org/keywords/food-insecurity","display_name":"food insecurity","score":0.7889999747276306},{"id":"https://openalex.org/keywords/health-insurance","display_name":"health insurance","score":0.8199999928474426},{"id":"https://openalex.org/keywords/educational-attainment","display_name":"educational attainment","score":0.7390000224113464},{"id":"https://openalex.org/keywords/income","display_name":"income","score":0.5690000057220459},{"id":"https://openalex.org/keywords/non-hispanic-black-adults","display_name":"non-Hispanic Black adults","score":0.7089999914169312},{"id":"https://openalex.org/keywords/all-cause-mortality","display_name":"all-cause mortality","score":0.6959999799728394}],"concepts":[{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.6428999900817871},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.5533999800682068},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.5425000190734863},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4876999855041504},{"id":"https://openalex.org/C2777673361","wikidata":"https://www.wikidata.org/wiki/Q5281228","display_name":"Disadvantage","level":2,"score":0.4447000026702881},{"id":"https://openalex.org/C3018595361","wikidata":"https://www.wikidata.org/wiki/Q7551354","display_name":"Social risk","level":2,"score":0.4269999861717224},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.39410001039505005},{"id":"https://openalex.org/C2776893239","wikidata":"https://www.wikidata.org/wiki/Q1778765","display_name":"Social isolation","level":2,"score":0.3617999851703644},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.3573000133037567},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3483000099658966},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.3447999954223633},{"id":"https://openalex.org/C29719523","wikidata":"https://www.wikidata.org/wiki/Q7551096","display_name":"Social epidemiology","level":4,"score":0.34369999170303345},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.3230000138282776},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.30410000681877136},{"id":"https://openalex.org/C2778149918","wikidata":"https://www.wikidata.org/wiki/Q3291156","display_name":"Population health","level":3,"score":0.30070000886917114},{"id":"https://openalex.org/C3020255362","wikidata":"https://www.wikidata.org/wiki/Q747883","display_name":"Physical activity","level":2,"score":0.28700000047683716},{"id":"https://openalex.org/C142164852","wikidata":"https://www.wikidata.org/wiki/Q2143884","display_name":"Social medicine","level":3,"score":0.28029999136924744},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.27649998664855957},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.26159998774528503},{"id":"https://openalex.org/C189326681","wikidata":"https://www.wikidata.org/wiki/Q10294","display_name":"Poverty","level":2,"score":0.25940001010894775},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.25780001282691956},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.25679999589920044}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1016/j.jacadv.2025.102154","doi":"https://doi.org/10.1016/j.jacadv.2025.102154","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jacadv.2025.102154","pdf_url":null,"source":{"id":"https://openalex.org/S4220651314","display_name":"JACC Advances","issn_l":"2772-963X","issn":["2772-963X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Advances","raw_type":"journal-article"},{"id":"pmid:41067122","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41067122","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC. Advances","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:11354592","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12546775","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1016/j.jacadv.2025.102154","doi":"https://doi.org/10.1016/j.jacadv.2025.102154","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jacadv.2025.102154","pdf_url":null,"source":{"id":"https://openalex.org/S4220651314","display_name":"JACC Advances","issn_l":"2772-963X","issn":["2772-963X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Advances","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.8974000215530396,"id":"https://metadata.un.org/sdg/10"}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W1977750306","https://openalex.org/W2142170772","https://openalex.org/W2162049040","https://openalex.org/W2338864525","https://openalex.org/W2606592708","https://openalex.org/W2796212360","https://openalex.org/W2809260887","https://openalex.org/W2995420665","https://openalex.org/W3096909987","https://openalex.org/W3125193263","https://openalex.org/W3135216483","https://openalex.org/W3152705473","https://openalex.org/W4210400747","https://openalex.org/W4283020313","https://openalex.org/W4311658989","https://openalex.org/W4362602023","https://openalex.org/W4376129470","https://openalex.org/W4378190630","https://openalex.org/W4383199562","https://openalex.org/W4388573970","https://openalex.org/W4390431405","https://openalex.org/W4392843448"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Obesity":[1],"is":[2,43,125,228],"a":[3,198],"well-established":[4],"risk":[5,115,201,226],"factor":[6],"for":[7,230],"cardiovascular":[8,53],"disease":[9],"and":[10,109,120,148,156,168,182,193,217,224,243],"mortality,":[11],"but":[12],"its":[13],"interplay":[14],"with":[15,41,64,139,164,171,178,188,213],"social":[16,104,223,241],"determinants":[17],"of":[18,34,158,202,240],"health":[19,28,159],"(SDoH)":[20],"remains":[21,66],"inadequately":[22],"studied.":[23],"Socioeconomic":[24],"disadvantage":[25,242],"can":[26],"exacerbate":[27],"disparities,":[29],"yet":[30,55],"the":[31,76,84,92,172,237],"cumulative":[32,57],"impact":[33,58],"SDoH":[35,48,98,118,166,181,190,215],"on":[36,59],"premature":[37,60,113,203,232],"mortality":[38,61,114,124,204,233],"in":[39,83,176],"individuals":[40,63,187,235],"obesity":[42,65,121,140,169,196],"not":[44],"well":[45],"understood.":[46],"OBJECTIVES:":[47],"are":[49],"key":[50],"contributors":[51],"to":[52,81,91,102,131,144,211],"disease,":[54],"their":[56],"among":[62,234],"underexplored.":[67],"METHODS:":[68],"This":[69],"study":[70],"analyzed":[71],"data":[72],"from":[73,75],"participants":[74],"United":[77],"States":[78],"aged":[79],"18":[80],"64":[82],"2013-2018":[85],"National":[86,93],"Health":[87],"Interview":[88],"Survey,":[89],"linked":[90],"Death":[94],"Index.":[95],"A":[96],"38-item":[97],"index":[99],"was":[100],"used":[101],"evaluate":[103],"disadvantage.":[105],"Multivariable":[106],"Cox":[107],"regression":[108],"Kaplan-Meier":[110],"analyses":[111],"assessed":[112],"across":[116],"different":[117],"burdens":[119],"classes.":[122],"Premature":[123],"defined":[126],"as":[127],"all-cause":[128],"death":[129],"prior":[130],"age":[132],"65.":[133],"RESULTS:":[134],"Among":[135],"136,816":[136],"participants,":[137],"those":[138,177,212],"were":[141],"more":[142],"likely":[143],"be":[145],"non-Hispanic":[146],"Black":[147],"face":[149],"low":[150],"income,":[151],"lower":[152],"education,":[153],"food":[154],"insecurity,":[155],"lack":[157],"insurance.":[160],"Mortality":[161],"rates":[162,174],"increased":[163,200],"higher":[165],"burden":[167,191],"class,":[170],"highest":[173],"observed":[175],"both":[179,222],"severe":[180],"class":[183,194],"3":[184,195],"obesity.":[185,219,244],"Specifically,":[186],"high":[189],"(Q3/Q4)":[192],"had":[197],"3.5-fold":[199],"(HR:":[205],"3.53;":[206],"95%":[207],"CI:":[208],"2.81-4.45)":[209],"compared":[210],"favorable":[214],"profiles":[216],"no":[218],"CONCLUSIONS:":[220],"Addressing":[221],"clinical":[225],"factors":[227],"essential":[229],"reducing":[231],"facing":[236],"combined":[238],"challenges":[239]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2025-10-09T00:00:00"}